Greater Niles Chiropractic Health Center Incorporated

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

23010006540 Issued in MI

Legal business name

GREATER NILES CHIROPRACTIC HEALTH CENTER INCORPORATED

Practice address

2407 Yankee St
Niles, MI 49120-3955

Phone

(269) 683-8151

Fax

(269) 683-6112

NPI assigned

Feb 24, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey David Bolton, D.C.NPI 1366408999

Title

Chiropractor/President

Phone

(269) 683-8151

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey David Bolton, DC

  • Chiropractor
  • Tucson, AZ
  • NPI 1366408999
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1831463728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 YANKEE ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491203955",
            "telephone_number": "269-683-8151",
            "fax_number": "269-683-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 YANKEE ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491203955",
            "telephone_number": "269-683-8151",
            "fax_number": "269-683-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER NILES CHIROPRACTIC HEALTH CENTER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "269-683-8151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "23010006540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2594620",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonio Ray Gonzales, D.C.
• Emma Goodling
• Jill L Gorsuch, DO, MPH
• Darrin Gourlay, D.D.S.
• Greater Niles Cardiology PC
• Yvette Yolanda Greene
• Carrie Lynn Grellmann, RPT
• Taiyler Griffin
• Genna Marie Grondin, NP
• Brandi Marie Gross

• Clinic/Center in Niles, MI
• Providers in Niles, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.